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精神卫生保健:家庭健康团队如何将其纳入初级卫生保健?

Mental health care: how can Family Health teams integrate it into Primary Healthcare?

作者信息

Gryschek Guilherme, Pinto Adriana Avanzi Marques

机构信息

Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas, SP, Brasil,

Faculdade de Medicina de Botucatu, Universidade Estadual Paulista, Brasil.

出版信息

Cien Saude Colet. 2015 Oct;20(10):3255-62. doi: 10.1590/1413-812320152010.13572014.

Abstract

Mental health is one of the responsibilities of Brazil's Family Health system. This review of literature sought to understand what position Mental Health occupies in the practice of the Family Health Strategy. A search was made of the scientific literature in the database of the Virtual Health Library (Biblioteca Virtual de Saúde), for the keywords: 'Mental Health'; 'Family Health'; 'Primary Healthcare'. The criteria for inclusion were: Brazilian studies from 2009 through 2012 that contributed to understanding of the following question: "How to insert Mental health care into the routine of the Family Health Strategy?" A total of 11 articles were found, which identified difficulties and strategies of the professionals in Primary Healthcare in relation to mental health. Referral, and medicalization, were common practices. Matrix Support is the strategy of training and skill acquisition for teams that enables new approaches in mental health in the context of Primary healthcare. It is necessary for Management of the Health System to take an active role in the construction of healthcare networks in mental health.

摘要

心理健康是巴西家庭健康系统的职责之一。本文献综述旨在了解心理健康在家庭健康战略实践中所处的位置。在虚拟健康图书馆(Biblioteca Virtual de Saúde)数据库中搜索科学文献,关键词为:“心理健康”;“家庭健康”;“初级医疗保健”。纳入标准为:2009年至2012年的巴西研究,有助于理解以下问题:“如何将心理保健纳入家庭健康战略的日常工作中?”共找到11篇文章,这些文章确定了初级医疗保健专业人员在心理健康方面的困难和策略。转诊和医学化是常见做法。矩阵支持是一种针对团队的培训和技能获取策略,能在初级医疗保健背景下实现心理健康方面的新方法。卫生系统管理部门有必要在心理健康医疗网络建设中发挥积极作用。

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